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Home My Public Portal About9744 WOOLLEY ST_Sewer__ 54&E-e6s 12-54 APPLICATION FOR PERMIT DVSION OF BULDING ANSAFETY SEWER-SEWAGE DISPOSAL_ ___ 1 Deparbnent of County Engineer County of LOS Angeles BUILDING WM.J. FOX, COUNTY ENG,NEER ADDRESS CASSATT D.(3RIF"FIN,SUI+'T O.F BUILDING LOCALITY FOB APPLICANT TO FILL IN NEAREST CROSS ST, LEGAL DESCRIPTION .; . LOT NO, OWNER BLOCK TRACT MAIL ADDRESS NO. Or BLUGS, - - -- .SIZE OF LOT NOW ON.LOT CITY - TEL. N0, USE OF BUILD_NGS - DISTRICT NO. GROUP MAP C --- _ � -- - -- ^ - .. PG CONTRACTOR F -L-- ADDRESS CONNECT ATA CITY - TEL. NO. STATION . '` DE,PT,.G6....,_ STATE �a MANHOLE REFERENCE REGISTRATION NO, Q COUNTY _ UPPER LG\VER ----�- YPE OF CONNECTION LENGTH FROM _._.— NO, DESCRIPTION OF WORK FEE CURB P.L. NLL.10 P,L HOUSE SEYVER CONNECTING TO PUBLIC_EWER.__ Ca�,S 3.56 'Y- !I HOUSE SCWER CONNECTING TO PH VATE Dl�POSAL 5YSYEd 1.00_ i --__ 4^ /4 r,--- } ------ �� - --CONNECT ADDITIONAL BLOC. OR �--- - _ 4 WORKCO. IMP,N0. OB, NO _ TO HOUSE SEWER 1.00 CO. _.- -__--- ALTER OR REPAIR EXISTING WE OR DISPOSAL S STEM _ 1.00 i — UNI{PERMIT NO. .0 PERMIT NO DISCONNECT AND ABANDON SEWER -� i,- -- —ROACH -- ..- -~--- AND;()R DISPOSAL_SYSTE_'.J1.00 i STA EN CROACHA;EN Tom--' —' SEPTIC TANK,SEEPAGE PIT ORS.__-" PERM NO_ - - _ ---- —' PITS AND/OR DR.AINFIELD 2:00 IND USTR', r Yr _..-. .. ._� 'HASTE AP n!' CESSPOOL DRYWELL SPECIAL CONDITIONS ONLY 2.00 .I CHARGES - — CONNECTION CHA FEE OWNER'S p£R T_ _� 5 � i 00 —-- AUTIORIZATION TOTAL FEE REIMBU LENT FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CON AIyFI®�' � _� D;;"E - "ti PEC7OR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRI D EXISTING DYELLING TO THE PUBL1� EK'ER - --- - _--` --- _ NEW HOUSE SEWER 1 SIGNED THIS oaf DAA QF °_� _19- .IW CONNECT ADDITIONAL WNER OR _BUILDING ORIV O OWNERS w-AGL -`�� '' ' - .� RK —___ — - SEPTIC TANK, SEEP, PIT(S) 14f, _AND/OR DRAIYFIELD I HEREBY ACKNOWLEDGE THAT I PAVE READ THIS APPLICATION CESSPOOL 0 D!iYWFLL CI AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,ALTER, REPAIR,SEWER OR PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTEM _ HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �D:S('ONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED R IDENTI ROPE T �? � a9 BACKFILL SEPTIC TANKS[I -9- SEEP.SEEP. PITS) CJ CESSPOOLS 0 SIGNATURE a �'� c"�, � 6F PERAIiTTE.. WILLIAM J. FOX, COUNTY ENGINEER VALIDATION BY If BY t r In A DEPUTY "' .1 .>> ;-� 131 .. - '^" BY �' BY 1 cv> DEPUTY tDEPUTY DEPAWT51ENT OF COUNTr ENGINZE t SEWER--SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ATXGFRLEs BUILDING ADDRESS WILLIAM J, FOX, C® NTY lrNwNEER A LIS ADDRESS '��'4— a , FOR APPLICANT TO FILL IN LOCALITY BUILDING(' t NEAREST ADORE ra a- CROSS ST. LOCALITY T DISTRICT N0. f SERI NO. PERMIT NO. NEAREST S CROSS ST. — -- RECEIVED BY Ready for Inspection DATE 181W ED OWNER ADD USE ZONE OCCUPANCY MAP A3DRE�SS 99_ /' BK PG CITY A,'r� r TEL.NO, f CONTRACTOR- E CO.IMP.NO, ADDRESS �. �• !0$N0. CITY TEL.NO. TRUNK PERMIT N0, t� STATE REGISTRATION NO. COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT N0, STATE ENCROACHMENT - --- - — PERMIT N0. BLOCK TRACT INDUSTRIAL _WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOU EBWEIYCONNEGTINGTO PUBLIC SEWER $ 3.50 RECEIPT NO. DATE I BY HOUSE SEWER CONNECTING TO I PRIVATEDISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 i - -- ALTER OR REPAIR EXISTING NO- f DATE I BY SEWER OR DISPOSAL SYSTEM 1.00 { l IHSCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM Loo CONNECTION DATA p SEP'IC TANK,SEEPAGE PIT OR f PITS AND/OR DRA!NF!ELD 2.00 _"CESSPOOL—DRYWELL STATION DEPTH SPECIAL CONDITIONS ONLY 100 MANHOLE REFERENCE f UPPER LOWER TYPE OF CONNEC`r IONLENGTH FROM OWNERS PERMIT -1 Y. CUPS P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE �•�' -- ---- — I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS....-._.........•---DAY OF........ ............._................19.___.. NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT......,.--......._ . BUILDING OR WORK SEPTIC TANK ADDRESS---_-------- .........................................................._... Atan .. , ';Jc5 U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL 0 DRYWELL El CA T,k)N AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEVERS. SEWAGE DISPOSAL SYSTEM I SC HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DIONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILLSEPTICTANKS SEEP.PITd01E3 CESSPOOLS[]^ I SIGNATURE e� OF PERMITTEE. . _�If 76A642A 663 7/53 77 f: 76A642D 10. 4 � APPLICATIONFOR PERMIT` � 8 ! COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DERARTMEINT OF COUNTY ENGINEER BtJILDLNG ANIS SAFETY DIVISION j0HN A, LAMBIE, County Fn a zetiT ° t A sem''' WILLIAM A. jENSEN, Supt of �ux 1'ing 7't � � �, ( / � --- — i 0 A L T Y y,. - --- -- -- NE?REST FOR APPLICANT TO FILL TSE D.:.-c P .�N '-"NC'# �#..L—�':T�;'7-ipY � 3`/NEA r I I_ ADO BLOCK vUut' Q (3T 17"1' _. .EL. NO. USE OF fi.4.I>JINI .''� p -q `d ,L �, 71 Rf.T NO. GROUP @§AF :'PROCESSED 13Y w J CONT h FG OR. ,,:/ + l >J�aC'i : �. 411 - - ACDRESS CONNECTION DATA C"iY 'EL, N �q(�S y3� s STATION i DEPTH R- z! IN {_ L ,may yL SIATE MANHOLE F2 E.Ff•R NC _� _ _ _ _Y ... OF CONNCCCT;ON LENGTH FROM � Jl L E VYE t+C, NI I IFt:= a —.. _ - 1 Y, cli Ra [... M,L.TO F.L. oo F.C.NO, f ti,: 7.K v4fi, h E-i 7 c' ,ry f H JUS'_..., N'..._6,C;,N.FC !I.;<'rn. 4i ' f(,In FRh;ITNO. ROAD PEFq'hglT Na. i.a --'- —Y C} If J tPd LS OR .. 1 "7 - - � I-IDAi�Y WRr [N €.A5 E.X[t!7 7 RECOR.3.Iiia Tp. NO. I GAPE � XTN .LF Y(1 AC .rr� �L HOUSE },JJY.OR rl.NelDENiN�j.. N _ AlLR,r' ? f WER 0,1 UI�r FilAvE EN-ROACHWENT _—— PERHIT N. DIJ5: i.AL. W.ASTL APPROk1A.L. CHARGES 00 _ AUTHORIZATION c I dE rlar }.AAL e -1h4:3 Mr?y Fr_E I kiAV:-. AT l>;I; D\r' .. CONT"4A.:Y WITH THE, HE:>!z:'N NAMED CON_ TRa r TOP +� r a44.h(:. +;C. Ai3iJ.r L: DE`:fCifi-[3E F'Klc IFI D-+f1i c ...1'IdG 7G ?1+C. APPROVALS .A,:'. INSPEr'f OR'S S iGNAT'URE S GiNEO THIS DAY OF ONN I'R 0.-- d I - a " NI eil HOUSFII SEeN L.2 y I OWNEa AGENTCONNECT A30 7 0,NAL j A'DRF' 6 11 DiF OP.43Ori SEP I HERCSY ACKNOWLEDGE HAVETNA. , HAVE READ THIS APPLICATION ,A t3D STATE THA. THE AE}fJ YE !St CORRECT AND A'p,FLEE TO COMPLY .k /,v Y WITH ALL AUNTY ORDINANCES AND r-rATE LAWS REGULATING PLUMBING AND qEWERS ..f CESSPOOL U DRYWEL.L L7 I � 'r aENt i, Am PRO E1..- ISlERED AND/?.R ALTER REPAf R,SEWFR OR --- -- — - --N U A'' !G 4 RE GYi -.L7 AN'L.y. S- J -'r"( l ND SYA7E 6P SEW,kG D15PDSAL 5YC;TE'4S c iF'a OP 1 -�- ""+I ECALtlDW J APdD INTENA DISCONNECT PLUG AND kUS1DF_ J/ 7 AF�tiY` DES 1,r L'b, RE P,DT— A ABANDON hd UV.s bEM'ER p aF ERN91 _ -� _ (F' e BA. }:F" Y IL T§NhS. . SEI:"PAT'S) CJ c.s„FanL ROBERT A. WOOD P O. TIQN SUPERV Sita( MECHANICAL, ENGINEER C'. w3 a a JUL 1, r >!. TE v = E CITY 080APPLICATION FOR PERMIT E8088 8•S8 8 7 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING TORN A. LAMBIE, County Engineer ADDRESS -- CASSATT D. GRIFFIN, Sup t of Building LOCALITY NEAREST -��- FOR APPLICANT TO FILL IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER BLOCKTRACT MAIL i ADDRESS NO.OF BLDGS. SIZE OF LOT NOW ON LOT CITY - TEL. NO, USE OF BUILDINGSI DISTRICT NO.. GROUP MAP PROCESSED$Y BK - PG CONTRACTOR ADDRESS CONNECTION DATA CITY TEL.NO. STATION DEPTH STATE MANHOLE REFERENCE - UF'PER REGISTRATION NO. COUNTY - LOWER NO. DESCRIPTION OF WORK FEE y HOUSE SEWER CONNECTING TO PUBLIC SEWER $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. ITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,GRAINFIELD - EXTN..CESSPOOL.DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO. IMP.NO. `� JOB NO. _ i CONNECT ADDITIONAL-BLDG 0R-- �«.. . `TRUNK PERMIT N0.~ ROAD PERMIT NO. WORK I'0 HOUSE SEWER_'C_,.c -:.(d $1.00 ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. 'NDUSTRIAL WASTE APPROVAL, CHARGES OWNERS PERMIT 51 2 OO CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE __ ,, :> REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS I DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. . SIGNED THISDAY OF- 9- NEW HOUSE SEWER OWNER OR _CONNECT ADDITIONAL OWNERS AGENT----------. _ BUILDING OR WORK ADDRESS SEPTIC TANK.SEEP.PIT(S) AND/OR DRAINFLELD I HEREBY ACKNOWLEDGE THAT I HAVE RF_.AD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR.SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS ❑ SIGNATURE - SEEP.PIT(S ❑ CESSPOOLS OF PERMITTEE. 7F VALIDATION- ROBERT A. WOOD CIC. Y.O.- i CASH SUPERVISING MECHANICAL.ENGINEER 1 _